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Men's Health · Testosterone · Hormones · Clinical Review

Low testosterone might not be the problem. But it might be.

Fatigue, low libido, poor recovery, body composition changes — these are real symptoms. They are also caused by several things that have nothing to do with testosterone. The clinical review finds out which one applies to you before anyone reaches for a prescription.

Full page coming soon

Clinical appointments via CQC-registered Sutton Medical Consulting · Sutton Coldfield

What this page will cover

Investigation first. Prescription only if indicated.

The investigation before the prescription

Sleep, metabolic function, thyroid, prolactin, LH/FSH, SHBG — the full workup that should happen before testosterone is discussed.

Understanding your results

What total testosterone, free testosterone, SHBG, and LH/FSH actually mean — and why the reference range is not the whole story.

TRT — when it is and isn't indicated

The clinical case for testosterone replacement, the risks, the monitoring requirements, and what informed consent actually looks like.

Alternatives to TRT

Sleep optimisation, weight loss, alcohol reduction, and metabolic health improvements that can restore testosterone without pharmacological intervention.

If you're already on TRT

Whether your current protocol is appropriate, whether monitoring is adequate, and what stopping looks like if you want to come off.

The commercial TRT market

Why most online TRT clinics have a commercial incentive to prescribe — and why that matters for your decision.

In the meantime — if you have questions or would like to book a consultation before this page is complete, contact the practice directly. Every enquiry is reviewed personally by Dr Dan Reardon.